| NPI | 1790512655 |
|---|---|
| Doing Business As | BLACK MYRTLE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BLACK Owner 843-492-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |